Transcript Local Area Teams of the National Commissioning Board

Local Area Teams
of the
National Commissioning Board
Jim Gardner
Medical Director
NHS Lancashire
Design of the Chief Operating Officer’s
Directorate - Identifying Staffing Structures
19 October 2012 – Final
Building choice of high quality support for commissioners
Commissioning
Development
Programme
National Commissioning Board
1 NCB
4 Regions
27 Local Area Teams
Regional Team structure
Business office
key functions
Head of Office
(AfC band 8a)
Regional
Director
(VSM)
Director of HR and
OD
(VSM)
(plus team of 2
wte)
Director for
Patients and
Information
(8wte staff)
• small team to support the
RD in leading and
organising the NHS CB
across the region, liaising
with key external
stakeholders, and
supporting key briefing and
(internal) communications
requirements.
Business Manager
(AfC band 7)
Business
Office
Senior Admin
Support
(AfC band 5)
Admin Assistant
(AfC band 4)
Medical
Director’s
Team
Director of
Nursing Team
Finance
Director’s Team
Director of
Operations &
Delivery Team
Commissioning
Director’s Team
Project team (5 WTE staff) – detailed on slide 10
Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.
4
Local Area Team structure
Local Area
Director
(VSM)
Business
Office
Medical
Director’s
Team
Nurse
Director’s
Team
Finance
Director’s Team
A small team (3 WTE staff, AfC
bands 4-7) to support the LAT
Director in leading and
organising the Local Area
Team.
Director of
Operations
and Delivery
Team
Commissioning
Director’s Team
5
Functions of NCB Local Area Teams
1. Direct Commissioning
1.
2.
3.
4.
Independent contractors
Offender health
Veterans’ health
Specialised commissioning (10)
2. CCG assurance and assessment
3. A “Deep understanding of quality and safety” – Early
Warning Systems: Quality Surveillance Groups
4. Relationships and partnerships across the locality
5. Emergency Preparedness, Planning, Response (EPRR)
6. Designated body for Revalidation
7. Host Senates/Strategic Clinical Networks (12)
Commissioning Director’s Team
Some staff are funded from outside the COO budget
Commissioning Director
(VSM)
Senior Admin
Support
AfC 5
Head of Primary
Care
Head of Public
Health
Head of Offender
Health
Head of Military
Health
AfC band 8d
AfC band 8d
AfC band 8d
AfC band 8d
Offender Health
Team
Military Health
Team
Contract
Managers
Clinical
Leadership
Team **
1-4 AfC band
8b
Assistant
Contract
Managers
1 – 6 x AfC
band 8a
Primary Care
Support Team
3 – 7 AfC 7
2-4 AfC 6
Mix of AfC 4&5
Support Team
2 x AfC 3
1x AfC 4
Screening &
Immunisation
Team Funded by
Public Health
England*
Public Health
Commissioning
Manager
AfC band 8b
Public Health
Programme
AfC band 8a
Public Health
Programme
Contracts
AfC band 7
Support Team
2x AfC band 3
All LATs will have Primary Care and Public Health responsibility. FHS staff will also report
to the Commissioning Director.
*Primary care team : White boxes are core staff for every LAT and the pink boxes are
flexible. The total number of flexible staff will vary from 8-23
** Resource to support LPNs and provide clinical advice to contractors.
Head of Specialised
Commissioning
AfC band 9
Specialised
Commissioning
Team
The following
LATs will have
Offender Health
responsibility:
The following LATs
will have Military
Health responsibility:
The following LATs
will have Specialised
responsibility:
North of England:
* Durham, Darlington and
Tees
* Lancashire
* South Yorkshire and
Bassetlaw
Midlands and East:
* East Anglia
* Hertfordshire and S.
Midlands
* Shropshire and
Staffordshire
South of England:
* Bristol, North Somerset,
Somerset and South
Gloucestershire
* Kent and Medway
* Wessex
London
North of England:
* North Yorkshire and Humber
Midlands and East:
* Derbyshire and Nottinghamshire
South of England inc London:
* Bath, Wiltshire, Swindon and
Gloucestershire
North of England:
* Cheshire, Warrington and Wirral
* Cumbria, Northumberland, Tyne
and Wear
* South Yorkshire and Bassetlaw
Midlands and East:
* Birmingham and the Black
Country
* East Anglia
* Leicestershire and Lincolnshire
South of England:
* Bristol, North Somerset,
Somerset and South
Gloucestershire
* Surrey and Sussex
* Wessex
London
Detailed structure for
offender health, military
health and specialised
commissioning teams
provided on separate
slides
Within direct commissioning teams staff will be deployed flexibly across primary care and public health commissioning based on business needs. This
structure gives an indication of deployment. Details of screening and immunisations teams on following slide.
RO functions in Designated Body
• Clinical leadership of the Designated Body
• Maintain a list of doctors: “prescribed connections”
• Establishment and maintenance of GMC compliant
annual appraisal systems
• Clinical governance systems to allow feedback of
clinical information and 4Cs into appraisals
• Performance management and ‘fitness to practice’
and Revalidation systems in place – managing concerns
• Make recommendations to the GMC about
revalidation.
Relationships
• Health and Wellbeing
Boards
• Patients and public
• Politicians
• Providers
• CCGs
• Regulators
• AHSNs
• LET-Bs
• Local Professional
Networks (LPNs)
• LMC/LPC/LOC/LDC
• Research Networks
• Strategic Clinical
Networks
–
–
–
–
Cardiovascular
Cancer
Mental Health
Maternity & children
• Senate(s)
Thank you
[email protected]